Use of Steroids 



  • Do NOT routinely use hydrocortisone in septic shock 

  • Consider IV hydrocortisone 200mg per day if adequate fluid resuscitation + vasopressors have failed to restore hemodynamic stability 

  • Taper hydrocortisone once vasopressors are no longer necessary 


Adapted from Surviving Sepsis Guidelines 2016. Critical Care Medicine: March 2017 - Volume 45, Issue 3, p 486–552